STRATEGY STUDIO / PUBLIC DATA EXPLORER

ELIM SENIOR HOUSING INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
ELIM SENIOR HOUSING INC (EIN 81-0754064)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-09-16
IRS object ID
202032609349300838
Schema version
2019v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-09-16T13:13:50-07:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN810754064EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ELIM SENIOR HOUSING INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlELIMBusinessNameControlTxt
Phone9528555000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line17171 Ohms LaneAddressLine1Txt
CityEdinaCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55439ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKathy YoungquistPersonNm
Person TitleCFOPersonTitleTxt
Phone9528555009PhoneNum
Signature2020-09-15SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address50.209.15.97IPv4AddressTxt
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerRobert DahlPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line17171 Ohms LaneAddressLine1Txt
CityEdinaCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55439ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,580,560GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.cassialife.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2015FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionELIM SENIOR HOUSING, INC. OWNS AND OPERATES A 155-UNIT SENIOR APARTMENT BUILDING.ActivityOrMissionDesc
Voting Members Governing Body5VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee102TotalEmployeeCnt
Total Volunteers12TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$2,500PYProgramServiceRevenueAmt
CY Program Service Revenue$1,580,560CYProgramServiceRevenueAmt
CY Investment Income$0CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$2,500PYTotalRevenueAmt
CY Total Revenue$1,580,560CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$192,210PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,591,425CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$789,868PYOtherExpensesAmt
CY Other Expenses$5,405,232CYOtherExpensesAmt
PY Total Expenses$982,078PYTotalExpensesAmt
CY Total Expenses$6,996,657CYTotalExpensesAmt
PY Revenues Less Expenses-$979,578PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$5,416,097CYRevenuesLessExpensesAmt
Total Assets BOY$56,532,731TotalAssetsBOYAmt
Total Assets EOY$49,274,516TotalAssetsEOYAmt
Total Liabilities BOY$54,840,451TotalLiabilitiesBOYAmt
Total Liabilities EOY$52,788,298TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,692,280NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$3,513,782NetAssetsOrFundBalancesEOYAmt
MissionSee Part I, Line 1MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$5,751,643ExpenseAmt
Grant$0GrantAmt
Revenue$1,580,560RevenueAmt
DescELIM SENIOR HOUSING, INC. OWNS AND OPERATES A 155-UNIT SENIOR APARTMENT BUILDING. THE CAMPUS CONSISTS OF ASSISTED LIVING AND MEMORY CARE UNITS AS WELL AS A TOWN CENTER.Desc
Total Other Prog Srvc Expense$0TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$0TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$0TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$5,751,643TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document7IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee102EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members5GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonKathy YoungquistPersonNm
Phone9528555000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line17171 Ohms LaneAddressLine1Txt
CityEdinaCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55439ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
Robert Dahl
President/CEO0.2219.78Yes (X)$0$739,877$127,818
Kathy Youngquist
Chief Financial Officer0.2219.78Yes (X)$0$374,518$106,354
Ronald Sanford
Chief Operating Officer0.4539.55Yes (X)$0$319,965$36,713
Angela Brown
VP of Human Resources0.2219.78$0$224,420$72,587Yes (X)
Richard Bjerkass
Secretary/Treasurer0.040.32Yes (X)$0$0$0Yes (X)
Dr Thomas Cairns
Vice Chair0.040.15Yes (X)$0$0$0Yes (X)
Nikki Daniels
Director0.040.11$0$0$0Yes (X)
Stann Leff
Director0.040.28$0$0$0Yes (X)
Patrick Nuss
Chair0.040.12Yes (X)$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,658,780TotReportableCompRltdOrgAmt
Total Other Compensation$343,472TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Varsity Marketing LLC
532 North Front Street Suite 200WormleysburgPA17043Marketing Services$136,168
Edward Construction
85 SW 52nd AveOcalaFL34474Construction Services$1,983,374
Henricksen
1101 West Thorndale AveItasaIL60413Furniture & Equipment$399,464
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
Total Contributions$0TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescAssisted Living RevenueDesc
Business623000BusinessCd
Total Revenue Column$1,580,560TotalRevenueColumnAmt
Related Or Exempt Func Income$1,580,560RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$1,580,560TotalProgramServiceRevenueAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,580,560TotalRevenueColumnAmt
Related Or Exempt Func Income$1,580,560RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,383,198TotalAmt
Program Services$1,093,976ProgramServicesAmt
Management And General$289,222ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$608TotalAmt
Program Services$481ProgramServicesAmt
Management And General$127ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$110,311TotalAmt
Program Services$87,245ProgramServicesAmt
Management And General$23,066ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$97,308TotalAmt
Program Services$76,961ProgramServicesAmt
Management And General$20,347ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$63,222TotalAmt
Management And General$63,222ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$31,323TotalAmt
Management And General$31,323ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$294,726TotalAmt
Management And General$294,726ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$19,078TotalAmt
Management And General$19,078ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$25,869TotalAmt
Management And General$25,869ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$186,491TotalAmt
Program Services$175,301ProgramServicesAmt
Management And General$11,190ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$60,419TotalAmt
Management And General$60,419ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,694,648TotalAmt
Program Services$2,532,969ProgramServicesAmt
Management And General$161,679ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,300,256TotalAmt
Program Services$1,222,241ProgramServicesAmt
Management And General$78,015ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$146,216TotalAmt
Program Services$137,443ProgramServicesAmt
Management And General$8,773ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Food$116,397$116,397$0
Supplies$95,881$95,438$443
Purchased Services$219,247$149,765$69,482
Miscellaneous$151,459$63,426$88,033

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$6,996,657TotalAmt
Program Services$5,751,643ProgramServicesAmt
Management And General$1,245,014ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$58,999BOYAmt
EOY$165,884EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
EOY$10,238EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$4,600BOYAmt
EOY$66,475EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$42,499,690LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,300,256LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,786,424BOYAmt
EOY$41,199,434EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$54,682,708BOYAmt
EOY$7,832,485EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$56,532,731BOYAmt
EOY$49,274,516EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$15,358BOYAmt
EOY$1,604,059EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$51,116,802BOYAmt
EOY$51,184,239EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,708,291BOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$54,840,451BOYAmt
EOY$52,788,298EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,692,280BOYAmt
EOY-$3,522,337EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$8,555EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,692,280BOYAmt
EOY-$3,513,782EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$56,532,731BOYAmt
EOY$49,274,516EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$5,416,097ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$186,535NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Investment Expense$0InvestmentExpenseAmt
Prior Period Adjustments$0PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$23,500OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Total$0TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$2,500CurrentTaxYearMinus1YearAmt
Current Tax Year$1,580,560CurrentTaxYearAmt
Total$1,583,060TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,500CurrentTaxYearMinus1YearAmt
Current Tax Year$1,580,560CurrentTaxYearAmt
Total$1,583,060TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$1,583,060PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$81,856CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$81,856TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$81,856CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$81,856TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$81,856CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,500CurrentTaxYearMinus1YearAmt
Current Tax Year$1,580,560CurrentTaxYearAmt
Total$1,664,916TotalAmt
FieldValueIRS element (for citing)
First5 Years509Yes (X)First5Years509Ind

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$1,786,424InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Book Value$1,786,424BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$38,621,127InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$1,066,345DepreciationAmt
Book Value$37,554,782BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$0DepreciationAmt
Book Value$0BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$1,993,632InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$220,918DepreciationAmt
Book Value$1,772,714BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$98,507InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$12,993DepreciationAmt
Book Value$85,514BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$41,199,434TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
Funds Held by Trustee$7,784,943
Due from Affiliates$47,542
FieldValueIRS element (for citing)
Total Book Value Other Assets$7,832,485TotalBookValueOtherAssetsAmt
Total Rev Etc Audited Fincl Stmt$1,782,040TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$186,535NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Recoveries Prior Year Grants$0RecoveriesPriorYearGrantsAmt
Other Revenue$14,945OtherRevenueAmt
Revenue Not Reported$201,480RevenueNotReportedAmt
Revenue Subtotal$1,580,560RevenueSubtotalAmt
Investment Expenses Not Incld$0InvestmentExpensesNotIncldAmt
Other Revenues Not Included$0OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,580,560TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$6,996,657TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$0DonatedServicesUseFcltsAmt
Prior Year Adjustments$0PriorYearAdjustmentsAmt
Losses Reported$0LossesReportedAmt
Other Expenses Included$0OtherExpensesIncludedAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$6,996,657ExpensesSubtotalAmt
Investment Expenses Not Incld2$0InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$0OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$6,996,657TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule D, Part XI, Line 2dFormAndLineReferenceDesc
ExplanationNet Assets Released from Restrictions - Operations - $14,945ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (1)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsYes (1)CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Robert Dahl
President/CEO$0$437,567$0$287,186$0$15,124$0$111,553$0$16,265$0$867,695$0$235,726
Kathy Youngquist
Chief Financial Officer$0$302,671$0$61,757$0$10,090$0$84,392$0$21,962$0$480,872$0$59,933
Ronald Sanford
Chief Operating Officer$0$230,739$0$86,966$0$2,260$0$31,909$0$4,804$0$356,678$0$57,023
Angela Brown
VP of Human Resources$0$183,057$0$33,333$0$8,030$0$52,759$0$19,828$0$297,007$0$33,333

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 1aA set percentage is paid to help cover the taxes on personal auto usage. This amount is treated as a taxable benefit.
Schedule J, Part I, Line 4Certain officers and key employees of the organization participate in a 457(f) Deferred Compensation Plan. For 2019 the amount of deferred compensation was as follows: Robert Dahl - $54,463 Kathy Youngquist - $52,086 Angela Brown - $30,867
Schedule J, Part I, Line 6The officers of the organization and Angela Brown accrued incentive bonuses at 12/31/19 that were contingent on the combined net income of the organization and all related organizations.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1Capital Trust AgencyBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN593591394BondIssuerEIN
CUSIP140542AG6CUSIPNum
Bond Issued2017-08-29BondIssuedDt
Issue Price$53,050,000IssuePriceAmt
PurposeTo finance construction of a new senior living campusPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$0RetiredAmt
Bond Defeased$0BondDefeasedAmt
Total Proceeds$53,050,000TotalProceedsAmt
In Reserve Fund$3,704,212InReserveFundAmt
Capitalized Interest$0CapitalizedInterestAmt
Refunding Escrow$0RefundingEscrowAmt
Issuance Costs From Proceeds$870,967IssuanceCostsFromProceedsAmt
Credit Enhancement$0CreditEnhancementAmt
Working Capital Expenditures$0WorkingCapitalExpendituresAmt
Capital Expenditures$37,397,227CapitalExpendituresAmt
Other Spent Proceeds$11,077,594OtherSpentProceedsAmt
Unspent$0UnspentAmt
Refunding Tax Exempt Bonds0RefundingTaxExemptBondsInd
Refunding Taxable Bonds0RefundingTaxableBondsInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Private Bus Use By Others0PrivateBusUseByOthersPct
Private Bus Concerning UBI0PrivateBusConcerningUBIPct
Total Private Business Use0TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due YetYes (1)RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate DueYes (1)NoRebateDueInd
Variable Rate IssueYes (1)VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule K, Part IV, Line 2c-08/29/2017 53,050,000 Capital Trust AgencyFormAndLineReferenceDesc
ExplanationAGENCY - 5 YEAR ANNIVERSARY HAS NOT OCCURRED YET.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, Line 6Elim Care, Inc. is the sole member of Elim Senior Housing, Inc. Board members of Elim Senior Housing, Inc. are approved by the Elim Care, Inc. board. Directors of Elim Senior Housing are subject to apporoval by the Elim Care, Inc. board.
Form 990, Part VI, Section A, Line 7aElim Care, Inc. is the sole member of Elim Senior Housing, Inc. Board members of Elim Senior Housing, Inc. are approved by the Elim Care, Inc. board. Directors of Elim Seniors Housing, Inc. are subject to approval by the Elim Care, Inc. board.
Form 990, Part VI, Section A, Line 7bElim Care, Inc. is the sole member of Elim Senior Housing, Inc. Board members of Elim Senior Housing, Inc. are approved by the Elim Care, Inc. board. Directors of Elim Seniors Housing, Inc. are subject to approval by the Elim Care, Inc. board.
Form 990, Part VI, Section B, Line 11bThe Form 990 Tax Return and all related schedules were prepared by the VP of Finance. The Chief Financial Officer reviewed the return prior to signing. The return is placed on a portal for Board Member to review prior to signing.
Form 990, Part VI, Section B, Line 12cThe organization annually requests a conflict of interest disclosure from each board member and officer. Also, annual questionnaires are sent out to get updates on the situations that may have risen during the year.
Form 990, Part VI, Section B, Line 15The Board of Directors routinely retains the services of a compensation consultant to review the current wages and benefit levels of similar positions in similar organizations. The compensation committee uses this information to make a recommendation to the board of directors.
Form 990, Part VI, Section C, Line 19Governing documents, conflict of interest policy and financial statements are generally not made available to the public.
Form 990, Part XI, Line 9Other Changes in Net Assets: Restricted Contributions Receivable: $23,500

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (22 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
Elim Care Inc
7171 Ohms LaneEdinaMN55439411694818Parent Co/Fund RaisingMN501(c)(3)7N/A0
Elim Homes Inc
7171 Ohms LaneEdinaMN55439411539761NsgHome/SrHsg/TherapyMN501(c)(3)10N/A0
Pioneer House Assisted Living Inc
7171 Ohms LaneEdinaMN55439411927112Senior HousingMN501(c)(3)10N/A0
Park View Care Center
7171 Ohms LaneEdinaMN55439410855707Nursing HomeMN501(c)(3)10N/A0
The Park Lane Apartments Inc
7171 Ohms LaneEdinaMN55439410972384Low Income HousingMN501(c)(3)10N/A0
Elim Children's Center
7171 Ohms LaneEdinaMN55439411974507Child DaycareMN501(c)(3)10N/A0
Redeemer Residence Inc
7171 Ohms LaneEdinaMN55439410711597Nursing HomeMN501(c)(3)10N/A0
Country Meadows of Milaca Inc
7171 Ohms LaneEdinaMN55439201723948Senior HousingMN501(c)(3)10N/A0
Lake Ride Care Center of Buffalo Inc
7171 Ohms LaneEdinaMN55439200507069Nsg Home/Senior HsgMN501(c)(3)10N/A0
Park Terrace Assisted Living Inc
7171 Ohms LaneEdinaMN55439204063752Senior HousingMN501(c)(3)10N/A0
Evangelical Retirement Homes Inc
7171 Ohms LaneEdinaMN55439420868449Nsg Home/Senior HsgIA501(c)(3)10N/A0
Village Assisted Living Inc
7171 Ohms LaneEdinaMN55439262086933Senior HousingMN501(c)(3)10N/A0
Community Health Foundation of Wright County
7171 Ohms LaneEdinaMN55439363546789Fund RaisingMN501(c)(3)7N/A0
Baptist Home Inc
7171 Ohms LaneEdinaMN55439450232943Nursing HomeND501(c)(3)10N/A0
New Harmony Care Center Inc
7171 Ohms LaneEdinaMN55430411821882Nursing HomeMN501(c)(3)10N/A0
Elim Care Foundation
7171 Ohms LaneEdinaMN55439411694817Long Term InvestingMN501(c)(3)12N/A0
Elim Shores Inc
7171 Ohms LaneEdinaMN55439411625095Senior HousingMN501(c)(3)10N/A0
Cornerstone Assisted Living of Plymouth
7171 Ohms LaneEdinaMN55439412013927Senior HousingMN501(c)(3)10N/A0
Newton Village Inc
7171 Ohms LaneEdinaMN55439200044030Nsg Home/Senior HsgMN501(c)(3)10N/A0
Haven Homes Inc
7171 Ohms LaneEdinaMN55439416045816Nsg Home/Senior HsgMN501(c)(3)10N/A0
Baptist Apartments Inc
7171 Ohms LaneEdinaMN55439450359794Senior HousingND501(c)(3)10N/A0
A&E Care Services
7171 Ohms LaneEdinaMN55439411806946Management ServicesMN501(c)(3)12N/A0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
Elim Preferred Services Inc
7171 Ohms LaneEdinaMN55439411681856Medical SalesMNN/AC$0$000
Preferred Senior Services Inc
7171 Ohms LaneEdinaMN55439411942480Management ServicesMNN/AC$0$000
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd